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Trauma attending in the resuscitation room: does it affect outcome?

Although there are no Class I data supporting the regionalization of trauma care the consensus is that trauma centers decrease morbidity and mortality. However, the controversy continues over whether trauma surgeons should be in-house or take call…

A biopsychosocial profile of the geriatric population who frequently visit the emergency department.

Over the last two decades the emergency department has become the primary source of health care for a large segment of the population. While this practice is discouraged by ED staff and primary care providers, it is an unfortunate reality. Recent…

Tags: *Aged/psychology, 1991, African Americans, Brokaw M, Demography, Emergency Service, European Continental Ancestry Group, Female, Hospital/*statistics & numerical data, Humans, Male, Marriage, Ohio medicine : journal of the Ohio State Medical Association, Ohio/epidemiology, Retrospective Studies, Sex Factors, Zaraa A S

Use of Fine-scale Geospatial Units and Population Data to Evaluate Access to Emergency Care.

Introduction: Time to facility is a crucial element in emergency medicine (EM). Fine-scale geospatial units such as census block groups (CBG) and publicly available population datasets offer a low-cost and accurate approach to modeling geographic…

Does functional decline prompt emergency department visits and admission in older patients?

BACKGROUND: Older patients may visit the emergency department (ED) when their illness affects their function. OBJECTIVES: To quantify the function of older ED patients, to assess whether functional decline (FD) had occurred, and to determine whether…

Screening for adolescent depression in a pediatric emergency department.

OBJECTIVES: To describe the prevalence of depressive symptoms in adolescents presenting to the emergency department (ED) and to describe their demographics and outcomes compared with adolescents endorsing low levels of depressive symptoms. METHODS:…

Tags: *Adolescent Behavior, 2006, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Adolescent, Adult, Age Distribution, Akron Children's Hospital, Alexander Heather, Christopher Norman C, Comorbidity, Cross-Sectional Studies, Department of Emergency Medicine, Department of Pediatrics, Depression/classification/*diagnosis/*epidemiology, Emergency Service, Female, Fenn Robin L, Hospital/*statistics & numerical data, Hospitalization/statistics & numerical data, Humans, Logistic Models, Luxmore Brett, Male, Mass Screening/*instrumentation/*statistics & numerical data, NEOMED College of Medicine, Ohio/epidemiology, Patient Participation/statistics & numerical data, Pediatrics/*statistics & numerical data, Prevalence, Psychiatric Status Rating Scales, Scott Emily Gale, Transportation of Patients/statistics & numerical data, Wounds and Injuries/epidemiology

Emergency department use and barriers to wellness: a survey of emergency department frequent users.

BACKGROUND: There is no common understanding of how needs of emergency department (ED) frequent users differ from other patients. This study sought to examine how to best serve this population. Examinations of why ED frequent users present to the ED,…

Predictors of nonattendance at the first newborn health supervision visit.

Failure to attend the first newborn health supervision visit is an important problem for the Continuity Care Clinic of Children's Hospital Medical Center of Akron, Ohio. The goal of this study was to use objective data from the neonatal record to…

Short-term functional decline and service use in older emergency department patients with blunt injuries.

BACKGROUND: Injuries are a common reason for emergency department (ED) visits by older patients. Although injuries in older patients can be serious, 75% of these patients are discharged home after their ED visit. These patients may be at risk for…

Tags: *Activities of Daily Living, 2010, 80 and over, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, Academic Medical Centers, Activities of Daily Living, Aged, Allen Kyle R, Blanda Michelle, Bone/physiopathology/therapy, Clinical Assessment Tools, Comorbidity, Confidence Intervals, Department of Emergency Medicine, Descriptive Statistics, Emergency Care – In Old Age, Emergency Patients – In Old Age, Emergency Service, Family, Female, Fisher's Exact Test, Fractures, Functional Status – In Old Age, Geriatric Assessment, Geriatric Functional Assessment, Gerson Lowell W, Health Resource Utilization – In Old Age, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Logistic Models, Logistic Regression, Longitudinal Studies, Male, Mental Status Schedule, NEOMED College of Medicine, Nonpenetrating – In Old Age, Nonpenetrating/*physiopathology/*therapy, OARS Multidimensional Functional Assessment Questionnaire, Odds Ratio, Ohio, Outcome Assessment, Outpatients, P-Value, Predictive Value of Tests, Prospective Studies, Questionnaires, Record Review, ROC Curve, Scales, Summated Rating Scaling, Surveys and Questionnaires, T-Tests, Teaching, Treatment Outcome, Treatment Outcomes, Wilber Scott T, Wounds

Effectiveness of screening and treatment for depression in ambulatory indigent patients.

OBJECTIVE: To determine the effectiveness of screening and treatment for depression among ambulatory indigent patients visiting resident physicians. DESIGN: Two-group randomized trial (N = 33 intervention, N = 28 usual care) with baseline, 6-month,…

Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Patients with Sepsis.

OBJECTIVE: Fluid responsiveness is proposed as a physiology-based method to titrate fluid therapy based on preload dependence. The objectives of this study were to determine if a fluid responsiveness protocol would decrease progression of organ…

Geriatric Disaster Preparedness.

INTRODUCTION: The elderly population has proven to be vulnerable in times of a disaster. Many have chronic medical problems for which they depend on medications or medical equipment. Some older adults are dependent on caregivers for managing their…

Patient Insurance Profiles: A Tertiary Care Compared to Three Freestanding Emergency Departments.

BACKGROUND: It has been speculated that freestanding emergency departments (FEDs) draw more affluent, better-insured patients away from urban hospital EDs. It is believed that this leaves urban hospital-based EDs less financially secure. OBJECTIVE:…

Tags: 2016, Department of Emergency Medicine, Emergency Service, Emergency Service – Statistics and Numerical Data, Freestanding emergency department, Griffin Gregory, Hayslip Dave, Health – Statistics and Numerical Data, Health – Trends, Health/*statistics & numerical data/trends, Hospital/*statistics & numerical data, Hospitals, Human, Humans, Insurance, Jia Zhenyu, Jouriles Nicholas, Kobe Daniel, Medicaid – Statistics and Numerical Data, Medicaid/statistics & numerical data, Medically Uninsured – Statistics and Numerical Data, Medically Uninsured/statistics & numerical data, Medicare – Statistics and Numerical Data, Medicare/statistics & numerical data, NEOMED College of Medicine, Orlik Kseniya, Retrospective Design, Retrospective Studies, Simon Erin L, Special – Statistics and Numerical Data, Tertiary Care Centers/statistics & numerical data, The Journal of emergency medicine, United States, Urban – Statistics and Numerical Data, Urban/*statistics & numerical data

Freestanding emergency departments and the trauma patient.

BACKGROUND: Freestanding emergency departments (FEDs) continue to grow in number and more research is needed on these facilities. OBJECTIVE: We sought to characterize the types of injuries and patients who initially presented to two FEDs and were…

Altered mental status in older emergency department patients.

This article reviews the significance of altered mental status in older emergency department patients. Specific diagnoses are discussed, including delirium, stupor and coma, and dementia, with a focus on delirium. Finally, an approach to all older…

Tags: 2006, Aged, Emergency medicine clinics of North America, Emergency Service, Hospital/*statistics & numerical data, Humans, Incidence, Mental Disorders/diagnosis/*epidemiology, Mental Status Schedule, United States/epidemiology, Wilber Scott T

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